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    2774 research outputs found

    Psychotherapy in an EBD school: How is psychoanalytic psychotherapy perceived by staff to support a child's classroom and social learning? A phenomenological study

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    This thesis explores the perceived value of long-term psychoanalytic psychotherapy in developing children’s learning and their ability to enter into social relationships, with the therapy based in a specialist school for Emotional and Behavioural difficulties (EBD). The qualitative research study approaches this question by exploring the lived experience of school staff who are in contact with pupils receiving treatment, gathering their thoughts and feelings around their perception of the effectiveness of a psychotherapy service embedded in the school. Data was collected via semi-structured interviews with eight members of staff from all three school departments: early years, primary and secondary. An Interpretative Phenomenological Analysis was employed to identify themes; the findings are discussed and summarised. The study found that participants reported experiencing a positive difference in a pupil’s academic and social learning, not only when in treatment but also after treatment had ended. This, however, was not without its challenges with staff having to manage fluxes in behaviour during the therapeutic process. This sometimes led to a clash in cultures between the therapeutic service and education. The study also highlighted how the psychotherapy service supported the school staff in understanding pupils who were challenging and difficult to understand. This provided containment, which was often found to cascade through the school staff. This was an unexpected finding of the research

    What sort of nurse are you? Nursing in a social care setting: Looked After Children's views and stories

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    There is a general recognition that the role of the Looked after Children’s (LAC) nurse has positively influenced the health of looked after children. Yet, there is a paucity of literature available regarding the nurse, and specifically a lack of understanding of how the role of the nurse is understood and experienced by children and young people who are looked after. The research adopts a qualitative, psychosocial approach to exploring and understanding how children and young people experience the LAC nurse. The Free Association Narrative Interpretative method (FANI) was the chosen methodology used to interview three Looked After Children and three Care Leavers on two separate occasions. Their narratives were voice recorded and transcribed, then analysed systematically through the FANI method and further analysed using thematic analysis. The findings are split into four domains, the young person, the nurse, the relationship and the system. The findings demonstrate the significance of how the young people relate to the nurse and centrality of the nurse in providing a maternal archetypal care to the young people and the role the nurse occupies in the system. The significance of loss in the lives of the young people is a main finding along the enormity of adverse childhood experiences (ACEs) being interlinked and interwoven in the young people’s experience. What develops out of these findings is a conceptualisation of a trauma informed model of nursing for Looked After Children. Recommendations are made for future practice and dissemination to interdisciplinary fields

    The professional couple, the consultant, and the outside world

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    This chapter was written by Robin Solomon, an independent consultant and senior fellow of the Higher Education Academy. Solomon also provides consultation to the specialist adoption project, AdCAMHS, which was cofounded by Alison Roy, the author of A For Adoption. Solomon writes that it is not surprising that despite policies mandating that agencies and professionals “work together”, stressful working conditions and lack of resources can arouse “inter-agency anxiety and compartmentalized, disparate, and disconnected organizations and/or inter-professional conflict”. The author uses psychoanalytic concepts to explain relational processes within the organizational settings and the importance of acknowledging understandable defences — for example, when practitioners or managers cannot acknowledge how depleted and potentially “unsafe” their service has become, due to lack of commissioned resources, because they know they need to accept the little they have, rather than risk losing it all. This “hidden” deprivation or denial can be very difficult to challenge in a culture where the majority seem to be accepting of it or offer little resistance

    Laverne Antrobus on Newsround. Why it's important to talk about your feelings. 19 May 2020, BBC [Starts at 03:44]

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    It's Mental Health Awareness Week 2020 from 18 - 24 May, and many groups involved in the campaign see it as a moment for the UK to focus on mental health. Whether you're male or female, talking about your feelings is important - especially if those feelings are impacting on your mental health. We spoke to child psychologist Laverne Antrobus who gave her top tips to help you share how you're feeling with others

    Barriers Remain: Perceptions and Uses of Comics by Mental Health and Social Care Library Users

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    This article is part of a larger study investigating the perceived value of using comics as an information resource in the teaching and training of mental health and social care professionals in a higher education setting. We surveyed 108 library users at the Tavistock and Portman NHS Foundation Trust, which specialises in mental health and social care and is a centre for both treatment and training. The study showed that most participants believed that comics have a potential role to play in mental health care training, and that challenges remain in getting comics perceived in ways that are not limited by existing prejudices or socio-cultural assumptions. Amongst other findings, the study found no significant association between the age or gender of participants and their attitudes to comics in an academic context. Participants considered that the most useful application of comics within the mental health and social care domain was their potential use in medical or therapeutic settings with young people. Even when our sample was not dominated by participants who reported reading comics regularly, the study showed that recent experience of reading comics seems to positively influence how comfortable participants feel about using comics for teaching or learning

    The emotional life of the baby

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    The emotional and physiological factors influencing the emotional life of the baby both inside and outside the womb are considered in this work. The couple's cradle of concern for the baby's emotional life which is described includes father and mother's relationship both during and after the pregnancy. Parents' groups and infant observation skills for pediatric staff, teachers and children are discussed as cost-effective preventative mental health activities which have been applied world-wide

    A qualitative study of systemic leadership training in a Danish municipality. Leaders’ experiences of participating in leadership training based on a systemic approach

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    DeRue (2011) finds that the literature on leadership emphasizes dominant discourses in which the personality characteristics, ability and leadership behaviour of the individual leader are central because these are important influences on employees. Ancone & Backman (2008) and Heifetz (1994) find the same trend in their review of leadership research between 2003 and 2008. For example, 84% of leadership research focuses on the leader as an individual with formal authority. However, researchers have recognized that leadership is about managing complexity and social dynamics that are context dependent. This thesis explores how participants in a systemic leadership programme experience their learning process. The following research questions were investigated: (1) How do leaders in systemic leadership programmes construct new meaning for leadership? and (2) How do systemic leadership programmes affect the co-creation of leadership practice, and how do they affect participants’ personal discourses about their leadership? Data were collected through sixteen qualitative in-depth interviews with twelve participants and five days of fieldwork observations of leadership training. A discourse psychology analysis led to the identification of three main discourses: (1) The discourse of embodied leadership training, (2) The discourse of relational leadership and its challenges, and (3) The discourse of power and hierarchy in leadership. The research suggests that systemic approaches will humanize leadership, as people will experience and be part of continuous development, both individually and as part of something greater than themselves. A systemic approach to leadership is more flexible and dynamic than other contextual frameworks. This systemic approach to leadership training utilized actual everyday contexts that guide practice for how leaders and co-workers’ function at work. The findings of this study show that this systemic approach acts as a “bridge builder” between the dominant individualistic discourses and a more complex contextual approach

    Fast feet forward: Sports training and running practice to reduce stress and increase positive cognitions in unaccompanied asylum-seeking minors

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    Unaccompanied asylum-seeking children (UASC) are a vulnerable group who are exposed to multiple traumatic events such as persecution, sexual maltreatment, imprisonment, torture, and losses in their home country (Bean, Derluyn, Eurelings-Bontekoe, Broekaert, & Spinhoven, 2007; Wiese and Burhorst, 2007). They are also subjected to continuous transitions throughout their migration trajectory (Bhugra, 2004). Although many studies have investigated the efficacy of bilateral movement in treatment of one single traumatic event (e.g. Fernandez, 2007), there is limited literature around bilateral movements interventions being used with perpetuated and multiple traumas within this cohort. This paper looks at the evidence for early intervention trauma work based on EMDR principles, the benefits of using running as a form of bilateral movement and the findings of a UASC sport trauma group with children in Kent, UK. It also gives recommendations for future research into early intervention trauma work with unaccompanied asylum-seeking children. The data showed a significant rise in the Validity of Cognition scores with a reduction in Subjective Units of Disturbance scores of those participating in the programme. This highlights the validity of this protocol and shows promising results for future enquiry

    “Nobody hears a silent cry for help” - Suicide survivors' experiences of disclosing during and after a crisis

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    Suicide remains an important public health issue across the globe. Until recently the medically dominated field of suicide prevention has neglected first-hand accounts of suicidal thoughts and behaviors from those who have survived prior suicide attempts. This qualitative research provides insight into the experience of suicide attempt, highlighting difficulties with disclosure of suicidal thinking prior to, and after, suicide attempts. Semi-structured interviews were undertaken with 31 adult suicide attempt survivors. The focus of the interviews was to explore their experience of suicide attempt and recovery. This paper reports on the complexity involved in disclosing suicidal thoughts or behavior prior to, at the time, or post attempt; the role that help seeking has when someone is acutely suicidal; and the challenges people have in finding their voice at these critical junctures. These factors are both inter- and intra-personal, and are influenced by stigma and lack of understanding of the suicidal state

    What is the co-creation of new knowledge? A content analysis and proposed definition for health interventions

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    Co-creation of new knowledge has the potential to speed up the discovery and application of new knowledge into practice. However, the progress of co-creation is hindered by a lack of definitional clarity and inconsistent use of terminology. The aim of this paper is to propose a new standardised definition of co-creation of new knowledge for health interventions based on the existing co-creation literature. The authors completed a systematic search of electronic databases and Google Scholar using 10 of the most frequently used co-creation-related keywords to identify relevant studies. Qualitative content analysis was performed, and two reviewers independently tested the categorisation of papers. Of the 6571 papers retrieved, 42 papers met the inclusion criteria. Examination of the current literature on co-creation demonstrated how the variability of co-creation-related terms can be reduced to four collaborative processes: co-ideation, co-design, co-implementation and co-evaluation. Based on these four processes, a new definition of co-creation of new knowledge for health interventions is proposed. The analysis revealed the need to address the conceptual ambiguity of the definition of “co-creation of new knowledge”. The proposed new definition may help to resolve the current definitional issues relating to co-creation, allowing researchers and policymakers to progress the development of co-creation of new knowledge in research and practice

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